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    <title>conjoint experiment on Anne-Kathrin Kleine</title>
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      <title>Skin cancer screening: Would people rather use an AI-enabled app or see a dermatologist?</title>
      <link>https://annekathrinkleine.netlify.app/blog/2024-04-skin-cancer-screening-ai-app-vs-dermatologist/</link>
      <pubDate>Mon, 15 Apr 2024 00:00:00 +0000</pubDate>
      
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      <description>&lt;p&gt;Skin cancer is a major public health issue, yet regular self-examinations and professional screenings are rarely done. Smartphone apps that use AI to assess skin lesions could help – but few people use them. In a project led by Susanne Gaube, we asked &lt;strong&gt;what makes people choose an AI-enabled app or a dermatologist&lt;/strong&gt; for skin cancer screening.&lt;/p&gt;




&lt;h4 id=&#34;what-we-did&#34;&gt;What we did
  &lt;a href=&#34;#what-we-did&#34;&gt;&lt;/a&gt;
&lt;/h4&gt;
&lt;p&gt;We ran two online &lt;strong&gt;forced-choice conjoint experiments&lt;/strong&gt; with participants from the United States (N = 1,591 and a replication with N = 308). Participants repeatedly chose between two screening offers that varied in provider type (AI-enabled app vs. dermatologist), costs, expertise, privacy policy, and the level of detail of the results. Afterwards, we assessed demographics, attitudes toward AI, and medical mistrust.&lt;/p&gt;




&lt;h4 id=&#34;what-we-found&#34;&gt;What we found
  &lt;a href=&#34;#what-we-found&#34;&gt;&lt;/a&gt;
&lt;/h4&gt;
&lt;ul&gt;
&lt;li&gt;The &lt;strong&gt;type of provider&lt;/strong&gt; was the most important factor: participants chose the dermatologist more often than the app.&lt;/li&gt;
&lt;li&gt;&lt;strong&gt;Costs, expertise, and privacy policy&lt;/strong&gt; also significantly influenced decisions.&lt;/li&gt;
&lt;li&gt;Preferences were rather consistent across age, gender, and ethnicity groups.&lt;/li&gt;
&lt;li&gt;People with &lt;strong&gt;greater medical mistrust&lt;/strong&gt; were more inclined to choose the app.&lt;/li&gt;
&lt;li&gt;Trust, accuracy, and quality ratings were higher for the dermatologist – regardless of which provider was chosen.&lt;/li&gt;
&lt;/ul&gt;




&lt;h4 id=&#34;what-this-means&#34;&gt;What this means
  &lt;a href=&#34;#what-this-means&#34;&gt;&lt;/a&gt;
&lt;/h4&gt;
&lt;p&gt;AI-enabled screening apps will not replace the dermatologist in people&amp;rsquo;s minds any time soon. Yet they may reach groups who distrust the medical system – which makes affordable, transparent, and privacy-respecting apps a potential way to close gaps in care for underserved communities.&lt;/p&gt;




&lt;h4 id=&#34;read-the-paper&#34;&gt;Read the paper
  &lt;a href=&#34;#read-the-paper&#34;&gt;&lt;/a&gt;
&lt;/h4&gt;
&lt;p&gt;Gaube, S., Biebl, I., Engelmann, M. K. M., &lt;strong&gt;Kleine, A.-K.&lt;/strong&gt;, &amp;amp; Lermer, E. (2024). Comparing preferences for skin cancer screening: AI-enabled app vs dermatologist. &lt;em&gt;Social Science &amp;amp; Medicine, 349&lt;/em&gt;, 116871. 
&lt;a href=&#34;https://doi.org/10.1016/j.socscimed.2024.116871&#34; target=&#34;_blank&#34; rel=&#34;noopener&#34;&gt;https://doi.org/10.1016/j.socscimed.2024.116871&lt;/a&gt;&lt;/p&gt;
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